Individual provider Active NPI

Meredith Lauretta Mona, MD

  • Psychiatry Physician
  • Camden, SC
National Provider Identifier
1447348693
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
28696 Issued in SC
Practice address
2611 Liberty Hill Rd
Camden, SC 29020-1871
Phone
(803) 432-5323
Fax
(803) 713-3978
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 28696 SC Primary

Addresses

Primary practice location

2611 Liberty Hill Rd
Camden, SC 29020-1871

Mailing address

215 N. Magnolia Street
Sumter, SC 29151-4943
Phone (803) 775-9364

Other practice location 1

1910 Towne Centre Blvd Ste 250
Annapolis, MD 21401-3599
Phone (657) 237-2450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office Psychiatry Past Accepting new patients
South Carolina Dept of Mental Health Accounting Office Past Accepting new patients
South Carolina Dept of Mental Health Accounting Office Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ms_mmona1@landmarkhealth-direct.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1447348693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N. MAGNOLIA STREET",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291514943",
            "telephone_number": "803-775-9364",
            "fax_number": "803-773-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 LIBERTY HILL RD",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290201871",
            "telephone_number": "803-432-5323",
            "fax_number": "803-713-3978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 Towne Centre Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013599",
            "country_code": "US",
            "telephone_number": "657-237-2450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONA",
        "first_name": "MEREDITH",
        "middle_name": "LAURETTA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "28696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, SC

Sources for this page

Verify at the official NPI Registry.